Hybrid approaches
Applied
Type
AdditionConfidence
85%
Created
Mar 19, 2026
Evidence
2 sources
Rationale
The original section was extremely brief and did not reflect the current standard of care where hybrid procedures (combining open debranching with endovascular stenting) are frequently used for aortic arch and carotid disease. Rossi 2024 provides context on the evolution of aortic arch repair success metrics, and Snyder 2026 provides evidence for hybrid interventions in common carotid artery disease.
Evidence
Content Changes
removedadded
* LimitedHybrid use;approaches occasionallyfor combinedthe ligationaortic andarch endograft.typically involve extra-anatomical debranching (e.g., carotid-carotid or carotid-subclavian bypass) to create a proximal landing zone for thoracic endovascular aortic repair (TEVAR). [@rutherford2018-rutherford] * While historically considered to have limited use, these techniques are increasingly employed for complex arch pathology, though standardized definitions of procedural success remain heterogeneous across clinical studies. [@rossi2024] * In the management of common carotid artery (CCA) disease, hybrid interventions—such as retrograde stenting combined with open surgical exposure or carotid endarterectomy—provide a versatile alternative to traditional open or purely endovascular techniques. [@snyder2026]